# HARBOUR HOUSE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336654474
- **Authorized official:** ROGER RILEY LCPC (CLINICAL DIRECTOR)
- **Authorized official phone:** (410) 255-3539

## Contact information

- **Practice address:** 5 OAK CT, ANNAPOLIS, MD 21401-7017
- **Practice address phone:** (410) 266-3040
- **Practice address fax:** (443) 378-3540
- **Mailing address:** PO BOX 3603, BALTIMORE, MD 21214-0603
- **Mailing address phone:** (410) 255-3539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 905693 | MD | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 12/15/2017
